Variation in the classification of polyneuropathies among European physicians
Identifieur interne : 000384 ( PascalFrancis/Corpus ); précédent : 000383; suivant : 000385Variation in the classification of polyneuropathies among European physicians
Auteurs : H. Tankisi ; B. Johnsen ; A. Fuglsang-Frederiksen ; M. De Carvalho ; P. R. W. Fawcett ; A. Labarre-Vila ; R. Liguori ; W. Nix ; M. Olsen ; I. SchofieldSource :
- Clinical neurophysiology [ 1388-2457 ] ; 2003.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.
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Format Inist (serveur)
NO : | PASCAL 03-0193883 INIST |
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ET : | Variation in the classification of polyneuropathies among European physicians |
AU : | TANKISI (H.); JOHNSEN (B.); FUGLSANG-FREDERIKSEN (A.); DE CARVALHO (M.); FAWCETT (P. R. W.); LABARRE-VILA (A.); LIGUORI (R.); NIX (W.); OLSEN (M.); SCHOFIELD (I.) |
AF : | Department of Clinical Neurophysiology, Aarhus University Hospital, AKH, Nørrebrogade 44, 8000/Aarhus/Danemark (1 aut., 2 aut., 3 aut.); Department of Neurology, Hospital de Santa Maria/Lisbon/Portugal (4 aut.); Deportment of Clinical Neurophysiology, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (5 aut., 10 aut.); Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire/Grenoble/France (6 aut.); Institute of Neurology, University of Bologna/Bologna/Italie (7 aut.); FDepartment of Neurology, University Clinics/Mainz/Allemagne (8 aut.); Department of Clinical Epidemiology, Aarhus University/Aarhus/Danemark (9 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Clinical neurophysiology; ISSN 1388-2457; Irlande; Da. 2003; Vol. 114; No. 3; Pp. 496-503; Bibl. 26 ref. |
LA : | Anglais |
EA : | Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice. |
CC : | 002B17A08 |
FD : | Polyneuropathie périphérique; Electromyographie; Europe; Classification; Homme; Médecin |
FG : | Système nerveux pathologie; Nerf périphérique pathologie; Electrodiagnostic |
ED : | Polyneuropathy; Electromyography; Europe; Classification; Human; Physician |
EG : | Nervous system diseases; Peripheral nerve disease; Electrodiagnosis |
SD : | Polineuropatía periférica; Electromiografía; Europa; Clasificación; Hombre; Médico |
LO : | INIST-5626E.354000107730190110 |
ID : | 03-0193883 |
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<front><div type="abstract" xml:lang="en">Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.</div>
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<server><NO>PASCAL 03-0193883 INIST</NO>
<ET>Variation in the classification of polyneuropathies among European physicians</ET>
<AU>TANKISI (H.); JOHNSEN (B.); FUGLSANG-FREDERIKSEN (A.); DE CARVALHO (M.); FAWCETT (P. R. W.); LABARRE-VILA (A.); LIGUORI (R.); NIX (W.); OLSEN (M.); SCHOFIELD (I.)</AU>
<AF>Department of Clinical Neurophysiology, Aarhus University Hospital, AKH, Nørrebrogade 44, 8000/Aarhus/Danemark (1 aut., 2 aut., 3 aut.); Department of Neurology, Hospital de Santa Maria/Lisbon/Portugal (4 aut.); Deportment of Clinical Neurophysiology, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (5 aut., 10 aut.); Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire/Grenoble/France (6 aut.); Institute of Neurology, University of Bologna/Bologna/Italie (7 aut.); FDepartment of Neurology, University Clinics/Mainz/Allemagne (8 aut.); Department of Clinical Epidemiology, Aarhus University/Aarhus/Danemark (9 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Clinical neurophysiology; ISSN 1388-2457; Irlande; Da. 2003; Vol. 114; No. 3; Pp. 496-503; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.</EA>
<CC>002B17A08</CC>
<FD>Polyneuropathie périphérique; Electromyographie; Europe; Classification; Homme; Médecin</FD>
<FG>Système nerveux pathologie; Nerf périphérique pathologie; Electrodiagnostic</FG>
<ED>Polyneuropathy; Electromyography; Europe; Classification; Human; Physician</ED>
<EG>Nervous system diseases; Peripheral nerve disease; Electrodiagnosis</EG>
<SD>Polineuropatía periférica; Electromiografía; Europa; Clasificación; Hombre; Médico</SD>
<LO>INIST-5626E.354000107730190110</LO>
<ID>03-0193883</ID>
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